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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D9 Remarried widow (2nd claimant) DA Remarried widow (3rd claimant) DC Surviving divorced husband, age 60 or over (1st claimant) DD Aged widow (4th claimant) DG Aged widow (5th claimant) DH Aged widower (3rd claimant) DJ Aged widower (4th claimant) DK Aged widower (5th claimant) DL Remarried widow (4th claimant) DM Surviving divorced husband (2nd claimant) DN Remarried widow (5th claimant) DP Remarried widower (2nd claimant) DQ Remarried widower (3rd claimant) DR Remarried widower (4th claimant) DS Surviving divorced husband (3rd claimant) DT Remarried widower (5th claimant) DV Surviving divorced wife (3rd claimant) DW Surviving divorced wife (4th claimant) DX Surviving divorced husband (4th claimant) DY Survived divorced wife (5th claimant) DZ Surviving divorced husband (5th claimant) E Mother (widow) (1st claimant) E1 Surviving divorced mother (1st claimant) E2 Mother (widow) (2nd claimant) E3 Surviving divorced mother (2nd claimant) E4 Father (widower) (1st claimant) E5 Surviving divorced father (widower) (1st claimant) E6 Father (widower) (2nd claimant) E7 Mother (widow) (3rd claimant) E8 Mother (widow) (4th claimant) E9 Surviving divorced father (widower) (1st claimant) EA Mother (widow) (5th claimant) EB Surviving divorced mother (3rd claimant) EC Surviving divorced mother (4th claimant) ED Surviving divorced mother (5th claimant) EF Father (widower) (3rd claimant) EG Father (widower) (4th claimant) EH Father (widower) (5th claimant) EJ Surviving divorced father (3rd claimant) EK Surviving divorced father (4th claimant) EM Surviving divorced father (5th claimant)

APPENDIX E Division of Welfare and Supportive Services MEDICAL ASSISTANCE PROGRAM MANUAL Medical Assistance Manual BIC CODE VALUES MTL 02/13 01 Nov 13